杭州市2013─2017学年中小学生视力不良现况分析及教学环境的关联作用

doi:10.3760/cma.j.cn115909-20191023-00286

Abstract
Figure/Table
References (34)
Related Citation (7)

Download: PDF (773 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective: To describe the status and classroom environment and factors related to reduced vision (RV) among students in Hangzhou. Methods: This was a cross-sectional study using the Chinese National Survey on Students' Constitution and Health for reference. Three schools (one primary school, one middle school and one high school) were randomly selected in each administrative district of Hangzhou by stratified cluster random sampling method in 2013-2017 academic year. A Chi square test and trend Chi square test were used to compare the distribution and severity of visual impairment among different genders, urban and rural areas and school grade levels. A rank correlation analysis was used as the basis for relevance between the qualified rate of the classroom environmental index and the rate of reduced vision. Results: Forty-eight schools and 244 338 students in Hangzhou were included as the subjects of interest. In the past 5 years, the average rate of RV among students in Hangzhou has been 76.44%. The RV rate for females in each grade was higher than males (χ2 =546, P<0.001). The RV rates in the suburbs and counties were higher than in the urban areas (χ2 =5 313, P<0.001). Also, rate was directly proportional to the school grade level. The RV rate in high schools was higher than the rate in junior high schools, which was higher than the rate in primary schools (P<0.001). There was a significant correlation between the chair height compliance rate and the RV rate in the classroom environment with significant differences (r=-0.581, P=0.029). Conclusions: The RV rate among students in Hangzhou is considered to be high. Students in primary schools were at the key stage of developing vision-related problems. Females and county schools need to be of concern.

Key words： reduced vision primary and middle school student current situation study

Received: 23 October 2019

Corresponding Authors: Li Hao, Hangzhou Center for Disease Control and Prevention, Hangzhou 310021, China (Email: haolihzcdc@sina.com)

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors

Cite this article:

URL:

https://www.cjoovs.com/EN/ 10.3760/cma.j.cn115909-20191023-00286 OR https://www.cjoovs.com/EN/Y2020/V22/I8/589

[1]	叶广俊. 儿少卫生学. 4版. 北京: 人民卫生出版社, 2002.
[2]	季成叶. 中国学生视力不良和疑似近视流行的动态分析. 中国学校卫生, 2008, 29(8): 677-680. DOI: 10.3969/j.issn.1000- 9817.2008.08.002.
[3]	董彦会, 刘慧彬, 王政和, 等. 2005-2014年中国7～18岁儿童青少年近视流行状况与变化趋势. 中华预防医学杂志, 2017, 51(4): 285-289. DOI: 10.3760/cma.j.issn.0253-9624.2017. 04.002.
[4]	中国学生体质健康调研组. 2005年全国学生体质调研报告. 北京: 高等教育出版社, 2007: 14-31．
[5]	Holden BA, Fricke TR, Wilson DA, et al. Global prevalence of myopia and high myopia and temporal trends from 2000 through 2050. Ophthalmology, 2016, 123(5): 1036-1042. DOI: 10.1016/ j.ophtha.2016.01.006.
[6]	O'Donoghue L, Kapetanankis VV, McClelland JF, et al. Risk factors for childhood myopia: Findings from the NICER study. Invest Ophthalmol Vis Sci, 2015, 56(3): 1524-1530. DOI: 10.1167/iovs.14-15549.
[7]	Huang HM, Chang DS, Wu PC. The association between Near Work activities and myopia in children-a systematic review and meta-analysis. PLoS One, 2015, 10(10): e140419. DOI: 10.1371/journal.pone.0140419.
[8]	Verhoeven VJ, Wong KT, Buitendijk GH, et al. Visual consequences of refractive errors in the general population. Ophthalmology, 2015, 122(1): 101-109. DOI: 10.1016/ j.ophtha.2014.07.030.
[9]	McCullough SJ, O'Donoghue L, Saunders KJ. Six year refractive change among white children and young adults: Evidence for significant increase in myopia among white UK children. PLoS One, 2016, 11(1): e146332. DOI: 10.1371/ journal.pone.0146332.
[10]	Pan CW, Klein BE, Cotch MF, et al. Racial variations in the prevalence of refractive errors in the United States: The multiethnic study of atherosclerosis. Am J Ophthalmol, 2013, 155(6): 1129-1138. DOI: 10.1016/j.ajo.2013.01.009.
[11]	董彦会, 刘慧彬, 王政和, 等. 中国2005-2014年7～18岁汉族儿童青少年近视现状和增长速度趋势分析. 中华流行病学杂志, 2017, 38(5): 583-587. DOI:10.3760/cma.j.issn.0254-6450. 2017.05.005.
[12]	杜丹丹, 许文龙, 徐婷, 等. 武汉市92 所视力健康管理的中小学校学生视力低下状况动态监测. 华中科技大学学报(医学版), 2017, 46(4): 480-483. DOI: 10.3870/j.issn.1672-0741.2017. 04.022.
[13]	罗春燕, 周月芳, 杨东玲, 等. 2011-2015学年上海市中小学生视力低下监测分析. 首都公共卫生, 2017, 11(3): 106-108.
[14]	宋逸, 胡佩瑾, 董彦会, 等. 2014年全国各省、自治区、直辖市汉族学生视力不良现况分析. 北京大学学报:(医学版), 2017, 49(3): 433-438. DOI: cnki:sun:bydb.0.2017-03-010.
[15]	You QS, Wu LJ, Duan JL, et al. Prevalence of myopia in school children in greater Beijing: The Beijing Childhood Eye Study. Acta Ophthalmol, 2014, 92(5): e398-406. DOI: 10.1111/ aos.12299.
[16]	杨义, 张文芳, 李玉婷, 等. 甘肃省城乡中小学生近视及影响因素的流行病学调查. 中华眼视光学与视觉科学杂志, 2019, 21(5): 327-333. DOI: 10.3760/cma.j.issn.1674-845X.2019. 05.002.
[17]	赵海岚, 余洁, 徐海铭. 杭州市拱墅区公立小学三年级小学生近视患病率及相关因素分析. 中华眼视光学与视觉科学杂志, 2019, 21(5): 321-326. DOI: 10.3760/cma.j.issn.1674-845X. 2019.05.001.
[18]	Lin LL, Shih YF, Hsiao CK, et al. Prevalence of myopia in Taiwanese schoolchildren: 1983 to 2000. Ann Acad Med Singapore, 2004, 33: 27-33. DOI: 10.1097/00000441- 200401000-00012.
[19]	French AN, Morgan IG, Mitchell P, et al. Risk factors for incident myopia in Australian schoolchildren: The Sydney adolescent vascular and eye study. Ophthalmology, 2013, 120(10): 2100-2108. DOI: 10.1016/j.ophtha.2013.02.035.
[20]	Pan CW, Dirani M, Cheng CY, et al. The age-specific prevalence of myopia in Asia: A Meta-analysis. Optom Vis Sci, 2015, 92(3): 258-266. DOI: 10.1097/OPX.0000000000000516.
[21]	中国学生体质与健康研究组编. 2005年中国学生体质与健康调研报告. 北京: 高等教育出版社, 2007, 103-106.
[22]	Yip VC, Pan CW, Lin XY, et al. The relationship between growth spurts and myopia in Singapore children. Invest Ophthalmol Vis Sci, 2012, 53(13): 7961-7966. DOI: 10.1167/ iovs.12-10402.
[23]	周佳, 马迎华, 马军, 等. 中国6省市中小学生近视流行现状及其影响因素分析. 中华流行病学杂志, 2016, 37(1): 29-34. DOI: 10.3760/cma.j.issn.0254-6450.2016.01.006.
[24]	吕若然, 宋玉珍, 段佳丽, 等. 北京市2017年中学生视力不良现状分析. 中华流行病学杂志, 2019, (40)4: 457-460. DOI: 10.3760/cma.j.issn.0254-6450.2019.04.016.
[25]	顾昉, 展元元, 章荣华, 等. 2017年浙江省中小学生视力低下监测分析. 疾病检测, 2018, 33(9): 782-786.
[26]	徐捷, 徐亮. 近视防控的六维度评估及防控模式. 中华眼视光学与视觉科学杂志, 2018, 20(3): 129-132. DOI: 10.3760/cma. j.issn.1674-845X.2018.03.001.
[27]	Nickla DL, Wildsoet CF, Troilo D. Diurnal rhythms in intraocular pressure, axial length, and choroidal thickness in a primate model of eye growth, the common marmoset. Invest Ophthalmol Vis Sci, 2002, 43(8): 2519-2528. DOI: 10.1007/ s00417-002-0511-X.
[28]	蔡佳玉, 邢怡桥, 周炼红, 等. 湖北省孝感市小学生视力调查及近视相关因素分析. 中华眼视光学与视觉科学杂志, 2020, 22(3): 198-203. DOI: 10.3760/cma.j.cn115909-20190822- 00233.
[29]	孙丽丽, 齐丽丽, 季拓. 电子产品对学龄前及学龄初期儿童近视的相关性分析. 国际眼科杂志, 2016, 16(2): 382-385. DOI: 10.3980/j.issn.1672-5123.2016.2.52.
[30]	Rose KA, French AN, Morgan IG. Environmental factors and myopia: Paradoxes and prospects for prevention. Asia Pac J Ophthalmol (Phila), 2016, 5(6): 403-410. DOI: 10.1097/APO. 0000000000000233.
[31]	施文英, 印晓虹, 吴西春, 等. 杭州市中小学校课桌椅卫生状况. 中国学校卫生, 2012, 33(3): 374.
[32]	Chung JW, Wong TK. Anthropometric evaluation for primary school furniture design. Ergonomics, 2007, 50(3): 323-334. DOI: 10.1080/00140130600842328.
[33]	Ramamurthy D, Lin CS, Saw SM. A review of environmental risk factors for myopia during early life, childhood and adolescence. Clin Exp Optom, 2015, 98(6): 497-506. DOI:10.1111/cxo.12346.
[34]	陈荣凯, 江海棠, 毕嘉琦, 等. 2011-2014年深圳市宝安区中小学校教室采光照明与学生视力不良的关系. 预防医学论坛, 2016, 22(2): 131-133, 136.